Willis, Randall Matthew
Willis, Randall Matthew is an individual health care provider with primary practice located at 207 Brechin Ln , Knoxville TN 37909-2165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Willis, Randall Matthew can be contacted via phone (865) 406-4044.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2083S0010X | 14380 | Tennessee |
Profile Details
| NPI number | 1053569145 |
|---|---|
| LBN Legal business name | Willis, Randall Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Sep 3rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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